@2024 Afarand., IRAN
ISSN: 1735-7675 Kowsar Medical Journal 2010;15(3):163-166
ISSN: 1735-7675 Kowsar Medical Journal 2010;15(3):163-166
Accuracy of surgeon performed sonography in blunt abdominal trauma
ARTICLE INFO
Article Type
Original ResearchAuthors
Khoshmohabbat H. (1 )Panahi F. (* )
Mehrvarz Sh. (2 )
Mohebbi H. A. (2 )
Bagherpour Jahromi A. (1 )
(* ) Trauma Research Center, Clinical Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
(1 ) Trauma Research Center, Clinical Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
(2 ) Department of General Surgery, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
Correspondence
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Fax:
farzadpanahi@yahoo.com
Article History
Received:Accepted:
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ABSTRACT
Aims
Focused Assessment with Sonography for Trauma (FAST) is used as a screening tool to detect hemoperitoneum in patients with blunt abdominal injuries in many trauma centers all over the world. However, Iranian trauma centers are unaccustomed to performing it as a routine. The aim of this study was to evaluate the sensitivity and specificity of FAST performed by surgeons and to announce its advantages to Iranian surgeons
Materials & Methods Data were collected prospectively in one hundred blunt abdominal trauma patients admitted to Baqyiatallah Hospital from April 2008- April 2009. FAST was used by surgeons or senior surgical residents to detect intra peritoneal fluid and considered positive if such fluid was identified. Data were analyzed using SPSS14.
Results 5 of the 100 patients had proven intra abdominal injuries and 95 had no injuries. FAST result was positive in 7 patients and negative in 93 patients. There were 2 false positive results. The sensitivity and specificity of FAST were 100% and 97.8%, respectively. The positive predictive value was 71.4%, the negative predictive value was 100% and the accuracy was 98%.
Conclusion Focused Assessment with Sonography for Trauma which is performed by general surgeons, can detect the presence or absence of intra peritoneal fluid rapidly and accurately. FAST is a potentially valuable tool for better management of trauma patients.
Materials & Methods Data were collected prospectively in one hundred blunt abdominal trauma patients admitted to Baqyiatallah Hospital from April 2008- April 2009. FAST was used by surgeons or senior surgical residents to detect intra peritoneal fluid and considered positive if such fluid was identified. Data were analyzed using SPSS14.
Results 5 of the 100 patients had proven intra abdominal injuries and 95 had no injuries. FAST result was positive in 7 patients and negative in 93 patients. There were 2 false positive results. The sensitivity and specificity of FAST were 100% and 97.8%, respectively. The positive predictive value was 71.4%, the negative predictive value was 100% and the accuracy was 98%.
Conclusion Focused Assessment with Sonography for Trauma which is performed by general surgeons, can detect the presence or absence of intra peritoneal fluid rapidly and accurately. FAST is a potentially valuable tool for better management of trauma patients.
Keywords:
Blunt Abdominal Trauma,
Focused Assessment with Sonography for Trauma (FAST),
Sensitivity,
Specificity,
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